Evidence map›Paper›PMID 39527121›Full record

Trial reportIntensive care medicine2024

Personalized positive end-expiratory pressure in spontaneously breathing patients with acute respiratory distress syndrome by simultaneous electrical impedance tomography and transpulmonary pressure monitoring: a randomized crossover trial.

Tommaso Mauri, Domenico L Grieco, Elena Spinelli, Marco Leali, Joaquin Perez, Valentina Chiavieri, Tommaso Rosà, Pierluigi Ferrara, Gaetano Scaramuzzo, Massimo Antonelli and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07172061 (Sigh in Pressure Support Ventilation to Detect Respiratory System Compliance and Lung Recruitability), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07172061 nacompletednot on this map

Sigh in Pressure Support Ventilation to Detect Respiratory System Compliance and Lung Recruitability

TypeinterventionalSponsorAUSL Romagna RiminiRan2024 to 2025Enrolled110ConditionsMechanical VentilationArmsPSV + sigh (Clinical PEEP and Clinical PEEP + 3 cmH₂O)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Update on acute respiratory failure.Intensive care medicine · 2026
    Article
  12. Article
  13. Review
  14. Review
  15. Respiratory Mechanics and Mortality during Assisted Ventilation.American journal of respiratory and critical care medicine · 2025
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tommaso MauriDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. tommaso.mauri@unimi.it.ORCID 0000-0002-2709-8162
Domenico L GriecoDepartment of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Elena SpinelliDepartment of Anesthesia, Critical Care and Emergency, Foundation IRCCS Ca' Granda Maggiore Policlinico Hospital, Milan, Italy.
Marco LealiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Joaquin PerezDepartment of Physical Therapy and Rehabilitation, Anchorena San Martín Clinic, Buenos Aires, Argentina.
Valentina ChiavieriDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Tommaso RosàDepartment of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Pierluigi FerraraDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Gaetano ScaramuzzoDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Massimo AntonelliDepartment of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Savino Spadaro *Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
Giacomo Grasselli *Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

Funding

Ministero della Salute Current Research
6 · The paper itself

Abstract

purposePersonalized positive end-expiratory pressure (PEEP) might foster lung and diaphragm protection in patients with acute respiratory distress syndrome (ARDS) who are undergoing pressure support ventilation (PSV). We aimed to compare the physiologic effects of personalized PEEP set according to synchronized electrical impedance tomography (EIT) and driving transpulmonary pressure (∆PL) monitoring against a classical lower PEEP/FiO

methodsA cross-over randomized multicenter study was conducted in 30 ARDS patients with simultaneous recording of the airway, esophageal and transpulmonary pressure, together with EIT during PSV. Following a decremental PEEP trial (18 cmH

resultsThe PEEP trial was well tolerated. Median PEEP

conclusionPersonalized PEEP selected using synchronized EIT and transpulmonary pressure monitoring could be associated with reduced dynamic lung stress and metabolic work of breathing in ARDS patients undergoing PSV.

Indexed as

Cross-Over StudiesElectric ImpedancePositive-Pressure RespirationRespiratory Distress SyndromeTomographyAgedFemaleHumansMaleMiddle AgedMonitoring, PhysiologicAcute respiratory distress syndromeElectrical impedance tomographyPositive end-expiratory pressureRespiratory driveTranspulmonary pressure

Identifiers

PMID39527121
PMCPMC11588931

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.